HomeMy WebLinkAbout0083619-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 300 S KOELLER ST
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cfrv OF OSHKOSH
No
83619
HV AC PERMIT - APPLICATION AND RECORD
Owner LANDMARK LIMITED PRTNSHP III
Create Date 01/02/2001
Contractor GARTMAN MECHANICAL SERVICES
Fuel 1v'1 Gas I 1011
System I I New I
~ Forced Air U Radiant
I I electnc I I Hot Water
Chimney Type r ) Chimney A e ) Chimney 1:5
Heat Loss r ) As Approved e ) I:.xlstmg
BTU Rate r ) As Per Plan e ) Variable
Category 510- Ind. & Comm~Heating & Ventilating Plan
I :Solar
I :Solid
i electric
I v' i Replace
U :steam
I I :Suppi.
e ) Ulrect Vent
I other
U Vent
UA/C
I I Con. Burner
e ) Not Applicable
e ) Not Applicable
e ) other
Value
Value
Use/Nature : lMM "...., ~'"'....
of Work (No electric permit required-received installation verification signed by Solar Electric)
Fees: Valuation $9,900.00
Issued By: ~S
Plan Approval
$0.00
Permit Fee Paid
$153.50
Date 01/10/2001
U Permit VOided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
520 W SO PARK AVE PO BOX 2264 OSHKOSH
WI 54903 - 2264
Telephone Number (920) 231-5530
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OfHKOfH
ON THE WMER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All
fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE \abiaO
JOB ADDRESS ?i~ '0 >- ~
OWNER ~VW
CONTRACTOR ~0Al:m M
CIRC~E ALL AP~ ICABLE
OIL
ELECTRIC
,~
RADIANT
SOLAR
~
SOLID
INDUSTRIAL
USR c.~TEGORY
FUEL ~
SINGLE FA.NfILY
DUPLEX
MULTI - FAMIr..Y
SYSTEM
NEW
Ec~~
ELECTRIC
OTHER
TYPE
STEAM
Ale
VENT
HOT WATER
SUPPL.
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
MANUFACTURER
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
DIRECT VENT
OTHER
HEAT LOSS
AS APPROVED
EXISTING
NOT APPLICABLE
BTU RATE
AS PER PLAN
VARIABLE
OTHER VALUE
NATURE OF WORK:
00
VALUE (Including labor and materials) $ Cf0 OD~
ELECTRICAL CONTRACTOR S:o~ ilic:bt...t0
Electrical installation of new/replacd\'{\eni: equipHlelit shall be done by licensed
contractors.
Valuation Fees
$ 0 to, $1, 000 . 0 0 .._........................._..................................__...................................._.............................$ 2 0 . 00
$1 , 0 0 0 . 01 to $10, 00 0 . 0 0 .............................................................._._............................................$ 2 0 . 00 for firs t
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000. 00..................................................................................._.......................$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Ove r $ 2 5 , 0 0 0 . 0 0 .......................................................................................................................................$ 3 0 5 . 0 0 plus $ 0 _ 5 0
per $100.00 valuation or part thereof
. Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fe~, which ever is
greater.
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12/06/00 13:38 FAX 920 236 7725 Solar Electric
D~c-e6-a8 01:23 PM GARTM~N MECHAN~CAL SER
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~ft. Electric InstaU:dion Verlftcatlon
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~?::; I (Electric;)) Contractor Name)
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. +';' : (Address) (CHy) (Stat~) (Zip Code) I,
;','H tie"" contract.d t" POt form eleclrie insl..llatio" work roCM:.dt~$~"_~
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(Addresli wn~d~ work win be perforrned) I
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1hUure of the work consists of: (Check One or De!u:ribe the Nature of Work]
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R("'f.:onneC(ton ()lr new circuit for tepl.acOrl.1cnt Hc:arL"1g Plant ami/OJ Ale c~.
ReCOlU1CC1.1Cln Dr new circuit for rephu;ement Electnj; Waler Heater. i
Reconllcc;tion ofthc Servke Entrance Cable, Meter Box, alterations to roc~_
Hghting fixtu.res due to siding I $Q:ffit instiUation. Note: New Service bmr~
Cs.oleswill fequifl:; U Scpfl.ratc ,permit. i
R'=connec11on or new dn::uit for other permanently wired appHanc!:$/ filCtUtcs, j,
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\il.le v~h.lC of (lli~ '\himk. is: $, 2'>(ICi_=~ _ "
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.~~:t~: hpreby verify thi:> work \vill be pt:rformed by an employee ofth\s com.pnn)' and jll~her verify ~
~ . 'ollncction ; installation win be clone in coml:>llance willh manufacturer and Elet:U"lC code I
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